The spleen is the most vulnerable organ in the abdomen, and the amount of bleeding after injury is extremely large, and the rescue principle of this compound injury is: save life first, preserve organs second. When Zhang Fan explored, he already knew that the spleen and left kidney could not be preserved.

It's hard, it's cruel, it's a kidney, or a spleen, and it's going to be a broken body at such a young age. Illness accompanies a lifetime, and what Zhang Fan can do now is to minimize the damage to the wounded on the premise of ensuring the lives of the soldiers.

The splenic artery must be ligated first to reduce blood loss and allow a large amount of blood in the spleen to flow into the circulating blood, making it the best autologous transfusion. During the operation, Zhang Fan first cut open the gastrocolic ligament and gastrosplenic ligament and ligament to ligate the blood vessels in the ligaments one by one, and entered the small omentum cavity, revealing the pancreatic body and tail.

The pulsating splenic artery is palpated at the upper edge of the pancreas, and a splenic artery bulge is selected at the junction of the body and tail of the pancreas, the posterior peritoneum is incised, the splenic artery is carefully separated with right-angle forceps, and the thick silk suture is ligated. When ligating the splenic artery, it is necessary to tie two channels, not too tightly, so as to close the lumen so as not to tear the arterial wall, and in addition, care should be taken to avoid damage to the parallel splenic veins below it.

Only Ye Bo can help a little with this operation, and the remaining two doctors can only pull the hook. Just on Zhang Fan's side, during the emergency operation, I only heard Zhao Quanping's platform next to him, Lao Zhao's particularly loud voice came: "Quick! I could hear from the tone that Lao Zhao was anxious and helpless.

"Director Zhao is no good! The drug has no obvious effect!" said the anesthesiologist.

"Shock cardioversion!"

"Bang, bang!" Zhao Quanping looked at the monitor expectantly, how much he hoped that this soldier's heart would beat again, and in the end, it was still not rescued! Zhao Quanping clenched his hands tightly.

"You send him!" Lao Zhao said softly, the damage was too serious, the warrior's luck was really too bad, after the shrapnel entered the abdomen, it caused great damage, but the cruelty was cruel, it did not directly kill him, but made the soldier suffer great pain before sacrifice.

After stitching up the remaining wounds on his body, the nurse gently wiped the blood on his face, tidied up the tattered military uniform, carried him onto the flat car, covered it with a white cloth sheet, and slowly pushed out of the operating room.

It's not a sad time, there are still surgeries waiting to be done, and there are wounded waiting to be rescued. "Dr. Zhang, how is it? Zhao Quanping slightly suppressed his disgraced mood, stood under the operating table and asked Zhang Fan.

His meaning was very clear: Do you need help! Zhang Fan is not an ordinary young doctor, Zhang Fan's skills are no worse than him, and this inquiry is a respect for doctors of the same level.

"The bleeding is too bad, I just have ligated the artery in my spleen now, and my kidneys haven't been processed yet, so come on the stage and help me." "Zhang Fan can lose his temper and scold the assistant, but he can't say that the assistant can't do it to people who have not participated in the operation, that is humiliation!

The assistant was a little out of rhythm, and Lao Zhao changed into a surgical gown and returned to the stage. As soon as he came up, it was different, he didn't need Zhang Fan to deliberately explain, what to do, hook, blood, clamp, knot, the two had a very tacit understanding. It's much faster, the spleen is removed, the kidneys are removed, and the abdominal cavity is cleaned.

Modern firearms are so powerful that rubbing the edge can cause a section of intestine to erod, necrosis, and lose its function. "Hey, this wounded man won't even dare to eat a full meal in the future, it's really a pity!" The intestinal damage is also very serious, Zhang Fan intercepted a long section of the intestine, and after the interception, Zhang Fan said in a lonely tone.

"It's okay, the abdomen of the wounded I rescued was directly stirred into minced meat, and the wound was not big from the outside, and there was not much bleeding. But when you open the abdominal cavity, it is already rotten. Hey, so young, I guess my kids are a little older than him. People have already gone to the battlefield to defend their families and defend the country, and that thing in my house is still mixed with the Internet for a day! I can't even support myself!" When a person is old, this special environment, looking at the soldiers who have just died, he will think of his children.

Six sick numbers, and finally three people were successfully rescued, one of whom was Zhang Fan's main knife. One of the orthopedics, the orthopedic department is that the thigh was injured, and there was no way, so it was amputated directly. The other was shot in the upper chest, fortunately, a single hole passed directly through the tip of the lung, breaking the shoulder blade, although the injury was serious, but not fatal.

Zhang Fan looked at the wounds of these soldiers and wondered, the contact surface was a sesame-sized wound, but when he turned it over, his back was a wound the size of a watermelon. This kind of injury is really too difficult to deal with, the bleeding is fierce, and the organ failure is particularly fast, and some even directly beat the organs to rot, which is all the experts from the city hospital, otherwise, today's result will be even more tragic!

The county hospital has set aside two wards to place all the rescue equipment, and all kinds of instruments are gathered in this ward, and the soldiers who have just survived the operation cannot leave the hospital, so they can only observe and treat them here.

The doctors and nurses of the city hospital have taken over them, accompanying them 24 hours a day, and the leaders of the municipal party committee specially explained to Ouyang, "The people who dare to dedicate themselves in the era of peace are more valuable, they have done what a hero can do, we can't let the hero shed blood and tears, and I don't know the specific specialty, but I will make a statement here again, and let them recover at all costs." If you have any problems, please contact me directly. The Municipal Party Committee fully cooperates!"

After all, it is an emergency, and the superior leaders of the armed police have not yet arrived, so it is the leaders of the city who call the shots!

In the lobby of the hospital, three flat cars covered with whitewashed sheets of white cloth were lying very young soldiers. They tried their best, but they still couldn't take their lives back from the Grim Reaper.

The captain of the armed police, the iron-beaten man cried like a child, these are all his soldiers, one by one, they were all eating together, training together, and alive yesterday, but today they are lying here in a cold body.

"Get up, all of you, get up!" a man stands up!" whimpered, bitter tears.

The iron-blooded warrior bleeds without tears, but not to the point of sadness. The laughter and laughter of the past, the sweat during the training, the scenes that swept through these iron-blooded soldiers, tears flowed. A group of soldiers with green faces defended the chaotic border with blood and sweat. For something, it is to allow people to walk freely and peacefully on the street.

It's over, it's all over! Armed policemen in police uniforms and doctors in white coats stood on both sides of the flat car to see off these heroes.

"Brother, let's go!" took off his hat and bowed. The captain who was crying and was about to collapse was also full of guilt in his heart, these soldiers were all trained by him! This kind of heartache of his is really incomprehensible to ordinary people, but there is no regret medicine in the world! He sent him to the battlefield, and he buried him! Not a soldier cannot understand it!

Pensions, disability payments, chronic pain that accompanies a lifetime, and the frustration of not being able to integrate into society are all the pains they have to bear. Is drug (a) scary? It's quite scary, it's not just an addictive problem, it's accompanied by too many bad consequences, AIDS, social instability, it's all brought about by this thing.

The most beautiful frontier city in the past has a huge number of AIDS patients! Why, it is these chaotic countries that have brought a large number of smuggling, prostitution, and the language of many people. Once infected, it spreads through various routes, and the speed of transmission is quite amazing. Drugs (a) and AIDS have become a dark cloud over this peach orchard.

When the operation was over, the county party committee directly ordered him to be removed from his post as president. Shi Lei took the position, the former surgeon, sitting in the dean's chair, which can be regarded as a complete goodbye to the technical post.

The director of the ICU and the director of the respiratory department of the city hospital, the general surgery department, and the orthopedic department each left a doctor to continue to treat the surviving fighters, and the others rushed back to the city overnight because they had to go to work and outpatient clinics the next day. No one's death can stop the sun from rising the next day.

On the way back, Zhang Fan and Zhao Quanping were in a car. In the car, which had been silent for a long time, Zhao Quanping said softly: "What should their parents do?"

"Yes!" Zhang Fan looked out of the window with blank eyes, this kind of disability was really shocking, living in a peaceful environment, they were really shocked.

They can only talk in the car now, because Ouyang had already given a gag order before getting into the car, this is for fear of causing panic among ordinary people, the war is so close, if the people find out, they will definitely have a sense of fear.

Normal life, calm work, Zhang Fan began to work hard to learn English, since the junior year after passing the English level 4, he has never touched English, he has almost forgotten English, let's start from the beginning.

Over the weekend, Director Li of Puwai, an affiliated subsidiary of Di University, brought his team and patients to Chasu Municipal Hospital. The entrance of the hospital, the outpatient building, and the surgical building are full of banners, all of which are using the fame of the Affiliated Hospital of Di University to raise the slogan of the city hospital.

Along the way, Li Jingjin's face darkened, this Ouyang did everything, and he was really a little unsophisticated. But he can't help it, who made him inferior to others.

In the hospital conference room, it is a little better, the layout here belongs to the equipment manufacturer, the specifications of the venue layout are very high, the mineral water is imported, and the gift prepared for the county doctor is a shopping card of 200 yuan per person. This equipment manufacturer is a rising star, because the leader is young!

So now in order to open up sales, it is also a bloody investment. There were a lot of doctors, hundreds of people, sitting in the big conference room of the hospital in the dark.

Debugging the lens and microphone, Ouyang personally presided over the meeting. "Experts, colleagues, first of all, welcome to Chasu City Hospital, I am here on behalf of all the medical staff of the hospital, to give a warm welcome to your arrival, today our hospital doctors have the honor to operate with Professor Di Da on the same stage, please experts and scholars to give correction and criticism. "Ouyang is high-spirited, can she not be happy! Lao Huang has been engaged in surgery all her life, and she has never been so beautiful, she has only been in office for a few days!

In the operating room, preoperative preparations were still being made, and Professor Li's doctoral disciples were doing these things, and he teased Zhang Fan: "This time I go back to Bird City, I am estimated to be criticized, you Dean Ouyang is really amazing." ”

What can Zhang Fan say, it's not easy to talk to. However, the director of the anesthesiology department answered: "Is the dean of Di University willing to criticize you? I heard that you were invited to the capital for surgery a few days ago. Frontier Outside You are this. He gave a thumbs up.

"Hey, I'm ashamed, do you know what kind of surgery I went to the capital?" Lao Li looked embarrassed.

"What's wrong!" Zhang Fan was also curious. Zhang Fan wanted to help and make some preoperative preparations, but Lao Li couldn't let him do it.

"A leader with a special identity in the frontier, I don't know what's going on, suffered from hepatic echinococcosis. I was the one who diagnosed it at the time. I suggested that he have surgery, and he said to go back and think about it. As a result, a week later, Mr. Chen, who was in the middle of the capital, called me and said that there was a liver hydatid surgery and I was asked to fly over for a procedure. Although we are a frontier hospital, liver hydatid surgery, seriously, let alone Huaguo, it is estimated that the world is also the top. ”

The anesthesiologist asked with a sneer, "And then." ”

"And then it was embarrassing! I hurriedly flew over to take a look, hey, isn't this an acquaintance, it's the one, he's embarrassed, he's thousands of miles away, hey!"

A few people chatted and waited for the preoperative preparations, and the two doctors brought by Lao Li were a little unhappy. They almost didn't have to do these things anymore, but when they came to a small city hospital, they actually started to work as a resident doctor, and the most annoying thing was that the chief surgeon turned out to be a little doctor younger than them.

They have been in the high-end medical field of a province for no less than seven or eight years, and today's kind of surgery, saying that a small doctor in a small border city can do the surgery, really don't believe that this completely subverts the academic qualifications they have been fighting for for more than ten years.

Five years of undergraduate, three years of graduate school, two years of doctorate, but the result, it is estimated that it is just a rabbit cub who graduated from a bachelor's degree, sitting there chatting and farting with their mentor, and it seems that their mentor still has a bit of a flattering taste!

Those who can be taken out by the tutor for surgery, and it is this kind of important surgery, are all top students and top technicians, although many of them are doctors, but there are many who can't even recognize the instruments.

Although he is dissatisfied, but the mentor is sitting, even if there is a great dissatisfaction, he will not show it, so let's watch it on stage. For those who are still studying for a doctorate, the great tutor of Tiandi is the largest.

The operation began, and after the anesthesia was completed, Zhang Fan went to the stage. Now Zhang Fan is really good, in a city-level hospital in a region, wearing surgical clothes can make the head nurse of the operation rush to wear it for him, it is really good. Ordinary department directors don't have this treatment.

"Doctor Zhang, what approach are you preparing today? Professor Li asked, Zhang Fan is too stable, if you don't ask him, he won't take the initiative to say anything to you. This made Professor Li a little depressed, and a professor who had been in the years took the initiative to ask a doctor with low seniority, and he really blushed!

This is actually wronged Zhang Fan, he also feels that he is a little doctor, and he takes the initiative to talk about surgery to a professor-level doctor, which is a bit embarrassing, he is really a technical nerd, and he is hopeless!

"Conventional approach. Professor Li, let's start the operation?" asked Zhang Fan.

"Let's go, let's go!" was an awkward conversation, and both of them were embarrassed.

"Turn on the camera, connect the headset, connect the conference room!" The staff of the technical department, after watching the surgeons start the operation, turned on the power and notified them to go out.

"Okay, the operation has begun, please give me a lot of advice!" Ouyang put down the microphone and sat down in her place.

When the picture appeared, some of the doctors present involuntarily let out a "Huh!" Originally, they thought it was the general director of the city hospital, but at first glance, it turned out that it was an unknown doctor, and it was a very young doctor, and they couldn't even close their mouths in surprise, and these particularly surprised doctors were actually doctors from other hospitals in the city.

The doctors in the county were also very surprised, they didn't expect that Dr. Zhang, who was invited by them for the sake of profit, could do this level of surgery, and some people couldn't help but say: "Zhang Fan! Dr. Zhang!" And there are many people who say this, and in a year, Zhang Fan has become very famous in the county.

In just one year, in the surrounding county hospitals, Zhang Fan has broken out of his own sky, although there is systematic help, but without a strong liver, and the practice of giving up part of the interests, Zhang Fan will definitely not have today's fame.

When this kind of voice gathered, everyone in the venue knew that the main knife was Zhang Fan!

At the beginning of the operation, Zhang Fan did it quickly. This operation is already very proficient, and Professor Li has seen Zhang Fan's huge liver tumor removal surgery, lying in bed at night, I don't know how many times he simulated it. This is talent, continuous improvement of talents, why they can stand at the top of the medical community in a province, there is no spirit of hardship, relying on qualifications, which is why you think too much~!

Zhang Fan did it quickly, Professor Li was not bad, and the other two doctors were not given for nothing. All kinds of retractors, all kinds of surgical vision, do quite well, almost compared with the assistant in the system.

Because it was an observation operation, there was almost no communication between the surgeons, the whole process was silent, and doctors at their level did not need to communicate, what to do next, and there was no need for Zhang Fan to mention something.

Entering the abdominal cavity, Zhang Fan's speed slowed down, and when he entered the abdominal cavity, he couldn't try to be fast, slow is fast, the classic mantra of the common foreign boss. Start a little bit of ligation and stop the bleeding.

In the observation hall, when the operation progressed to the abdomen, everyone saw the huge tumor, and involuntarily exhaled softly, it was too big, the position was so centered, this kind of operation, let alone done, even the surgery textbook clearly wrote: "Uncomfortable surgery!"

But now, the operation that subverts their worldview has come, and this is the small place on the frontier, and the sorrow of the doctors, which has been regarded as a classic saying or practice, may be outdated! But they don't know it!

"After this operation is done, whether the patient can get off the operating table or not is a matter of saying, really! This Professor Li is also a bit nonsense. The director of general surgery at another hospital in the city said to the other director.

"I don't think so, I'm not very sure, do you think Ouyang will make such a big fanfare? I don't know if the operation will be successful, but what I do know is that this woman is very powerful. Absolutely fine. ”

A little bit of peeling, a little bit of hemostasis, the terrible thing about the tumor is that the tissue boundaries are not clear, to remove a one-cm tumor, you need to remove at least five cm or more of the surrounding normal tissue.

Zhang Fan, who has average talent and average IQ, has finally reached the peak of the level of regional and municipal hospitals, and this operation is his path to enlightenment.

When he graduated and was suddenly helpless, he envied others for having a good father, and he rode a bicycle all over the world to find a job, and finally did not pay two years in vain.

As long as you struggle, even if it is in the mud puddle and rain, you will climb out sooner or later, and sooner or later you will see the rainbow, don't wait! Don't rely on the mountains and mountains, rely on everyone to fall, only your own strength is really strong.

The two doctors from the Affiliated Hospital of Di University were unable to breathe, they knew who invented this operation, they knew the wisdom of this operation, and they knew the difficulty of this operation.

Today, just today, in the Chasu City Hospital, a small undergraduate resident doctor taught them a lesson, an unforgettable lesson, what is precision surgery, what is precision liver cancer surgery. Lao Li has the deepest experience, last time he was a bystander, this time he is a participant, is the operation difficult! It is really difficult, it is estimated that there are not dozens of such operations, and he is estimated that he will not be able to do it alone.

Because the tumor is too big, the position is too centered, a small inadvertent, either liver failure or tumor removal is not clean, the failure of this surgery does not give you a chance to do it again, once the failure is either death or the spread of tumor cancer cells!

Slowly, when the last knife was cut, Zhang Fan spoke.